Disciplinary Action Policy Page 1 of 7

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Project Title: KHK Scaffolding & Formwork u L.L.C., Ajman, UAE
HSE Violation & Penalty Procedure.
nt
Prepared by: to
Name: Anand Approved by: bApproved by:
Unnithan Name: Nadeem M Baig eName: Anil Taurani
Designation: HSE Designation: General Manager d Designation: Managing Director
e
Officer Signature: Signature:
d
Signature: Date: uDate:
Date: 28/08/2018 ct
Note: This Procedure for HSE Violation & Penalty will be active from ethe date of approval.
d
Method of execution based on repeating similar offence fo
Sl.
Nature of HSE Violation r Remarks
No
1st 2nd 3rd 4th HA
S
E
E
Substandard housekeeping and Fine/ Fine/ D
1 Warning Warning
Salary cut Salary cut Vi
stacking of materials. 1
A
ol
0
E
at
Causing obstruction to fire-points, 0
Fine/ Suspension/ io
D
2 emergency roots and other Warning Warning
Salary cut Termination n3
accesses. A
0
fr
E
Creating fire hazard through 0
o
Fine/ Suspension/ D
3 improper stacking of flammable and Warning Warning
Salary cut m
Termination 5
explosive materials. A
3r
0
E
d
Creating electrical & fire hazard due 0
Fine/ Suspension/ D ti
4 to improper use or using unsafe Warning Warning
Salary cut Termination m5
tools/equipment. A
0
e
E
Not following PPE requirements as 0
Fine/ Suspension/ D
5 per nature of work and instruction of Warning Warning
Salary cut Termination 1
HSE Officer. A
0
E
Creating chemical hazard and 0
Fine/ Fine/ D
6 unsafe handling of hazardous Warning Warning
Salary cut Salary cut 5
substances. A
0
E
0
Unsafe operation of Fine/ Suspension/ D
7 Warning Warning
Salary cut
vehicle/equipment/plant. Termination 2
0
0

Author: AU Doc. Distribution: MD, GM, HRA, PM, HSE. Doc. Ref: KHK/HSE/HSEVPN/07/18 Date: 18/08/2018 Rev: 0
 b
e
Disciplinary Action Policy d Page 2 of 7
e
A
d
E
Damaging fire fighting devices, other u
Fine/ Suspension/ D
8 devices, properties & equipment by Warning Warning
Salary cut
ct Amount can be more as per loss assessment.
Termination 5
careless operation. e
0
d
Method of execution based on repeating same offence fo 0
Sl.
Nature of HSE Violation r Remarks
No
1st 2nd 3rd 4th H
A
A
S
E
E
Damaging safety devices and Fine/ Suspension/ D
9 Warning Warning
Salary cut
D
Vi Amount can be more as per loss assessment.
signage. Termination 5
1
ol
A0
0
at
Not following the written instruction E0
Fine/ Suspension/ io
0,
10 of HSE Officer regarding site safety Warning Warning
Salary cut
D As per severity of the violation.
Termination n2
issues. 1
A0
fr
0
Not adapting adequate risk control E
0,
o
Fine/ Suspension/ 0,
11 measures as per activity/HSE Warning Warning D5 As per severity of the violation.
Salary cut Termination m2
Instruction/MSRA. 1
0
3r
A0
d0
E
0,
Horseplay/Manhandling/Verbal Fine/ Suspension/ 0,
ti
12 Warning Warning
Salary cut
D5 As per severity of the violation.
abuse. Termination m2
1
0
A0
e
0
Not complying with site safety E
0,
Fine/ Suspension/ 0,
13 inspections for tools, equipment, Warning Warning
Salary cut
D5 As per severity of the violation.
Termination 2
machinery, PPE. 1
0
A0
0
Not complying with legal E
0,
Fine/ Suspension/ 0,
14 requirements, standards and Warning Warning
Salary cut
D5 As per severity of the violation.
Termination 2
company HSE Policy. 1
0
0
0
Use of mobile phones, tobacco, 0,
Fine/ Suspension/ 0,
15 coming under influence of drugs & Warning Warning
Salary cut 5 As per severity of the violation.
Termination 2
alcohol, smoking at site. A
A0
0
E
E0
0,
Operating without Fine/ Suspension/ D
D
16 Warning Warning
Salary cut 5
authority/Unauthorized entry. Termination 31
A0
0
0
Hiding or not reporting accident/ E0
Fine/ 0
Suspension/ 0,
17 incident/ near miss/ property Warning Warning D As per severity of the violation.
Salary cut Termination 21
damage.
0
0
Allowing operatives to work under 0,
Fine/ Suspension/ 0,
18 dangerous circumstances/safety Warning Warning As per severity of the violation.
Salary cut Termination 52
negligence. 0
0
0
0,
5
0
Author: AU Doc. Distribution: MD, GM, HRA, PM, HSE. Doc. Ref: KHK/HSE/HSEVPN/07/18
0 Date: 18/08/2018 Rev: 0
Disciplinary Action Policy Page 3 of 7

Note: Any warning, fine or salary cut, suspension or termination from work shall be considered as disciplinary action against non-conformance with legal and
statutory requirements and guidelines, company HSE Policy & various standards*
NB: The accountability will be as per KHK HSE Manual, UAE Federal Law & Statutory guidelines of Ajman.

Project Title: KHK Scaffolding & Formwork L.L.C., Ajman, UAE

HSE Violation & Penalty Notice
Date & Time Violation num Location/Division Name of Supervisor Name & Signature of HOD
13.10.2021 Loading Anirudha Bannerjee
Details of HSE Violation
Sl. Nature of HSE Violation ✓ applicable Detailed description of the violation
No
1 Substandard housekeeping and stacking of materials. ✓ The violator did safety negligence by doing unsafe
2 Causing obstruction to fire-points, emergency roots and other accesses. ✓ act knowingly by obstructing the emergency acess
3 Creating fire hazard through improper stacking of flammable and explosive materials. by stacking of materials and ignoring the verbal
4 Creating electrical & fire hazard due to improper use or using unsafe tools/equipment. instruction of HSE Officer.
5 Not following PPE requirements as per nature of work and instruction of HSE Officer.
6 Creating chemical hazard and unsafe handling of hazardous substances.
7 Unsafe operation of vehicle/equipment/plant.
8 Damaging fire devices, other devices, properties & equipment by careless operation.
9 Damaging safety devices and signage. Recommended corrective action & remarks
10 Not following the written instruction of HSE Officer regarding site safety issues. ✓ Violation with penalty given and informed the
11 Not adapting adequate risk control measures as per activity/HSE Instruction/MSRA. violator that penalty of AED 500 will be imposed in
12 Horseplay/Manhandling/Verbal abuse. case of further violation.
13 Not complying with site safety inspections for tools, equipment, machinery, PPE.
14 Not complying with legal requirements, standards and company HSE Policy. ✓
15 Use of mobile phones, coming under influence of drugs & alcohol, smoking at site.
16 Operating without authority/Unauthorized entry.
17 Hiding or not reporting accident/ incident/ near miss/ property damage.
18 Allowing operatives to work under dangerous circumstances/safety negligence. ✓
✓ applicable
1st 2nd 3rd 4th
Violation issued by: ✓ NIL NIL NIL Reviewed & approved by:
Details of penalty ( if any )
Name & Signature: Afsal Kabeer AED (In figure) Name & Signature: Nadeem M Baig
Designation: HSE Officer (Words) Designation: CEO
Name of violator Rajesh Dasary
Employee ID No. 1151

Author: AU Doc. Distribution: MD, GM, HRA, PM, HSE. Doc. Ref: KHK/HSE/HSEVPN/07/18 Date: 18/08/2018 Rev: 0
Name & Signature: Afsal Kabeer Name & Signature: Nadeem M Baig
Designation: HSE Officer Designation: CEO
Disciplinary Action Policy Page 4 of 7

Signature of violator
END OF THE DOCUMENT

Author: AU Doc. Distribution: MD, GM, HRA, PM, HSE. Doc. Ref: KHK/HSE/HSEVPN/07/18 Date: 18/08/2018 Rev: 0
Disciplinary Action Policy Page 5 of 7

Author: AU Doc. Distribution: MD, GM, HRA, PM, HSE. Doc. Ref: KHK/HSE/HSEVPN/07/18 Date: 18/08/2018 Rev: 0
 Project Title: KHK Scaffolding & Formwork L.L.C., Ajman, UAE
HSE Violation & Penalty Notice
Date & Time Location/Division Name of Supervisor Name of HOD

Details of HSE Violation

Sl. Nature of HSE Violation ✓ applicable Detailed description of the violation
No
Substandard housekeeping and stacking of materials.
1
Causing obstruction to fire-points, emergency roots and
2 other accesses.
Creating fire hazard through improper stacking of flammable
3 and explosive materials.
Creating electrical & fire hazard due to improper use or using
4 unsafe tools/equipment.
Not following PPE requirements as per nature of work and
5 instruction of HSE Officer.
Creating chemical hazard and unsafe handling of hazardous
6 substances.
Unsafe operation of vehicle/equipment/plant.
7
Damaging fire devices, other devices, properties &
8 equipment by careless operation.
Damaging safety devices and signage.
9 Recommended corrective action & remarks
Not following the written instruction of HSE Officer regarding
10 site safety issues.
Not adapting adequate risk control measures as per
11 activity/HSE Instruction/MSRA.
Horseplay/Manhandling/Verbal abuse.
12
Not complying with site safety inspections for tools,
13 equipment, machinery, PPE.
Not complying with legal requirements, standards and
14 company HSE Policy.
Use of mobile phones, coming under influence of drugs &
15 alcohol, smoking at site.
Operating without authority/Unauthorized entry.
16
Hiding or not reporting accident/ incident/ near miss/
17 property damage.
Allowing operatives to work under dangerous
18 circumstances/safety negligence.

19

20
✓ applicable
Violation issued by: 1st 2nd 4th Reviewed & approved by:

Name & Signature: Name & Signature: Nadeem M Baig

Designation: HSE Officer Details of penalty ( if any ) Designation: General Manager
AED (In figure)
Signature of violator
END OF THE DOCUMENT